ReviewPediatric surgery international2026
Challenges and outcomes in the management of rectal atresia and stenosis: a comprehensive review.
Review in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
purposeRectal atresia (RA) and rectal stenosis (RS) are rare anorectal malformations (ARM), comprising 1-2% of all cases. No consensus exists regarding optimal surgical technique. This study evaluated surgical approaches, complications, and long-term functional outcomes at a single referral center.
methodsRetrospective review of RA or RS patients treated between 2003 and 2020. Surgical technique, complications, and bowel function were analyzed. Fecal continence was assessed using Krickenbeck classification.
resultsEleven patients were included (7 RS, 4 RA), representing 1.2% of 900 ARM cases. Surgical techniques included posterior sagittal anorectoplasty (PSARP) in 4 (36.4%), transanal in 3 (27.3%), abdominoperineal pull-through in 2 (18.2%), and laparoscopic rectal web correction (LWC) in 2 (18.2%). Two patients required redo surgery. Ten of 11 patients were eligible for functional assessment; no true fecal incontinence was observed. Five (50%) required no bowel management; constipation was identified in five, including three with overflow soiling due to non-adherence. Median follow-up was 100.4 months (range 13-168).
conclusionDespite surgical complexity, most patients achieved satisfactory outcomes. The high incidence of constipation, particularly in RS, underscores the need for long-term follow-up and early intervention. The laparoscopic rectal web correction offers a reproducible, sphincter-preserving technique for effective correction of rectal webs.
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